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Tag: Caroline Johnson

  • Caroline Johnson – 2022 Statement on East Kent Maternity Services – Independent Investigation

    Caroline Johnson – 2022 Statement on East Kent Maternity Services – Independent Investigation

    The statement made by Caroline Johnson, the Parliamentary Under-Secretary of State for Health and Social Care, in the House of Commons on 20 October 2022.

    With permission, Mr Speaker, I will make a statement on the review into East Kent maternity services.

    Few things could be as tragic as the death of a child, yet knowing that that death was “wholly avoidable” comes with its own unimaginable pain. It is thanks to the tireless efforts, courage and determination of families in east Kent that we have been able to shine a light on maternity failings in East Kent Hospitals University Trust. Dr Bill Kirkup’s report, published yesterday, contains some stark and upsetting findings. From examining over 200 births in that trust between 2009 and 2020, he found that, had care been given at nationally recognised standards, 45 babies might not have lost their lives, and many more families might not have experienced such distress at what should have been their time of joy. He also found a toxic culture within the trust, with a

    “disturbing lack of kindness and compassion”

    and victims’ families even blamed for their devastating losses. Before I say more, Mr Speaker, I want to say this: I am profoundly sorry to all the families affected. This should never have happened, and we will work tirelessly to put it right.

    With the report having been published just yesterday, I am sure hon. Members will understand our need to carefully consider all of its details. I will be reviewing all the recommendations, and will issue a full response once I have had time to consider them. However, given the gravity of what the report reveals, I felt it was important to come to the House today and update colleagues on the steps we are already taking to improve maternity services in east Kent and across the country.

    The report itself is a litany of failure that makes for very difficult reading. It details failures of team working, failures of professionalism, failures of compassion, failures to listen, failures after safety incidents, and ultimately a failure of leadership. The review heard about women and family members feeling patronised, ignored or told off, with one woman hearing from a doctor:

    “Some parents just aren’t supposed to have children.”

    Some people felt they were unimportant, or too much trouble. One woman was reportedly told by a staff member that they were sorry for her loss, but that her baby was dead, and that there were other babies who were still living who needed attending to. These kinds of failures showed up at every level of patient care, with no discernible improvement over the whole timeframe of the review. The trust failed to read the signals and missed every opportunity to put things right.

    These are difficult things to hear, and especially hard because I know that so many of us have experienced for ourselves the brilliant care that NHS maternity services can offer. We must take nothing away from the hundreds of thousands of incredible people working day and night in maternity services across the country, yet we cannot pretend that the story of East Kent is a one-off. Reviews from Morecambe Bay and Shrewsbury and Telford paint a more disturbing picture. While they may be some of the most extreme examples—and we must hope that they are—they are certainly not isolated incidents. Colleagues will know that, just last month, Donna Ockenden began her independent review into maternity services at Nottingham University Hospitals NHS Trust.

    We entrust the NHS with our care when we are at our most vulnerable. Everyone has the right to expect the same high-quality care, no matter who they are or where they live. We are already taking a number of steps to improve the quality of maternity care in East Kent and across the country. An intensive programme of maternity support was put in place at East Kent Hospitals University NHS Foundation Trust in September 2019, overseen by NHS England, the Kent and Medway integrated care system and the trust’s board. The trust has been allocated a maternity improvement adviser and an obstetric improvement adviser. We will also continue to ensure the highest standards at national level.

    I am grateful to Dr Kirkup for the extensive recommendations in his report, but it is vital that they are not viewed in isolation. As Dr Kirkup said, since his Morecambe bay investigation in 2015,

    “maternity services have been the subject of more significant policy initiatives than any other service”,

    so his recommendations must be considered alongside existing work to improve maternity outcomes.

    First, there is our independent working group. The group is one of the key immediate and essential actions from the Ockenden review and has begun its important work. The group, chaired by the Royal College of Midwives and the Royal College of Obstetricians and Gynaecologists, is advising the maternity transformation programme in England on how it can take forward the findings of both the Ockenden and the Kirkup reports. Next, our new maternity quality surveillance framework is a vital tool for proactively identifying problems in trusts, so that they can get support before serious issues arise. In March 2022, NHS England announced a £127 million funding boost for maternity services across England, to help ensure safer and more personalised care for women and their babies. Even with that essential work, we recognise that there is still a long way to go and much more work to be done to put things right.

    In closing, I want to thank Dr Kirkup and his team. His experience has been invaluable, and I know that his approach of putting families first has been welcomed. I also know that hearing the accounts of families has been a harrowing experience at times, yet, as he said, it is difficult to imagine just how much harder it was for the families as they relived some of their darkest days. I am sure the whole House will join me in paying tribute to those families, whose tireless determination to find the truth and tell their stories has brought us to this important point. Nothing we do can bring back the children they have lost or fill the tragic void of a life never lived, but now we know their stories, we will listen, learn and act, so that no other family should ever experience such pain. I commend this statement to the House.

     

  • Caroline Johnson – 2022 Statement on Independent Investigation into East Kent Maternity Services

    Caroline Johnson – 2022 Statement on Independent Investigation into East Kent Maternity Services

    The statement made by Caroline Johnson, the Parliamentary Under-Secretary of State for Health and Social Care, in the House of Commons on 19 October 2022.

    I wish to inform the House that the independent review into maternity and neonatal services at East Kent Hospitals University NHS Foundation Trust has today published its report, which can be found here:

    https://www.gov.uk/government/publications/maternity-and-neonatal-services-in-east-kent-reading-the-signals-report

    NHS England commissioned Dr Bill Kirkup CBE to undertake an independent review into maternity and neonatal services at East Kent Hospitals University NHS Foundation Trust in February 2020, following concerns about the quality and outcomes of care. On behalf of the Government, I would like to thank Dr Kirkup, the families, and all those who contributed to the report.

    The report details the poor maternity care that over 200 families received at East Kent Hospitals University NHS Foundation Trust between 2009 and 2020. The trust failed to provide safe care and treatment which resulted in avoidable harm for mothers and babies, causing tragedy and distress that no family should have to experience. I am profoundly sorry to all the families that have suffered and continue to suffer from these tragedies. I also wish to pay tribute to the families who have come forward to assist the review.

    In line with the review team’s families first approach, I am pleased to hear that the families were able to see an advance copy of the report this morning ahead of the publication.

    I, and the Government, take the findings and the recommendations from the report extremely seriously and I am committed to preventing families from experiencing the same pain in the future.

    My Department along with NHS England has already established the independent working group, chaired by the Royal College of Midwives and the Royal College of Obstetricians and Gynaecologists. The independent working group will help guide the implementation and next steps of the immediate and essential actions from the Ockenden report and the recommendations from the East Kent report. The group has met twice to date, and the next meeting will focus on reviewing the recommendations for the East Kent report.

    In March 2022, NHS England also announced a £127 million funding boost for maternity services across England that will help ensure safer and more personalised care for women and their babies.

    I will be reviewing and considering all the recommendations from the report, and I will issue a full response once I have had time to consider the recommendations.

  • Caroline Johnson – 2022 Speech on Access to GP Services

    Caroline Johnson – 2022 Speech on Access to GP Services

    The speech made by Caroline Johnson, the Conservative MP for Sleaford and North Hykeham, in the House of Commons on 21 June 2022.

    I draw the House’s attention to my declaration in the Register of Members’ Financial Interests. The debate is about GPs and dentists, and I will deal first with GPs. I pay tribute to the GPs who work in my constituency, and in particular those at the New Springwells practice and at Caythorpe and Ancaster medical practice, which have outstanding CQC ratings. I also pay tribute to the GPs who delivered the vaccine service. Not only did they work during covid with its challenges, but they delivered a vaccine service as well. They are a very hard-working, admirable group of people.

    I agree with the Opposition that much of the overall problem with the NHS is a workforce problem. That is true. There are too many staff overall, and not enough of them are directly delivering or improving clinical care. We have expensive, very highly trained clinical decision makers being asked to do admin tasks that take them away from the clinical tasks that we are paying them for and which we need them to do. That contributes to our longer waiting times. So we need to increase the number of doctors.

    The Opposition are making a big point about 12 years, but it takes 10 years to train a GP, and it takes longer than that to train a consultant. So, actually, the shortage was created during Labour’s time in government and we are trying to fix it. That is indeed why the number of medical schools has been increased by five. I am pleased that one of them is in Lincoln, just outside my constituency. It is training a new generation of doctors who will provide services locally—people predominantly stay where they train—which will help the people of Lincolnshire to have more access to doctors. However, the Government should go further. In the year when we had challenges with A-levels caused by covid and more people than expected got the grades required to get into medical school, places were exceptionally increased. There are challenges with that—only so many people can get around a bedside and a patient will be happy to have only so many people listen to their heart or feel a lump or bump or suchlike—but, nevertheless, it has been managed for one year, and I think that it could be managed for more. The best thing that the Government could do for the health service in that regard would be to massively increase the number of doctor places. At the moment, we are turning away keen, enthusiastic potential young doctors doing their A-levels because places are so oversubscribed, but then we find that we have a shortage. That surely cannot be right.

    I turn to ease of access. The Secretary of State mentioned making it easier for people to be referred into secondary care, which of course is a good thing, but we need to ensure that training is in place for that. Since I became a consultant, we have seen the number of patients referred into secondary care increase rather rapidly—certainly in the department that I work in—but the quality of referrals has not always been right, and undoing an unnecessary referral can be more time-consuming than just seeing the patient. We need to be mindful of the need to have clinical decision makers doing what they need to do and, as such, if we are to broaden the scope of people making referrals, we need to ensure that either referrals are done with specific guidance or that training is provided so they are good-quality referrals, and not those that add to waiting lists.

    On dentistry, we have heard much talk about children having whole-mouth teeth extractions. Clearly, that is a horrific thing to happen—it is unimaginable, really, that a child needs to come into hospital to have all their teeth removed. I look to the Minister to tell us what she doing about that, because it is not, as some have suggested, all the Government’s or the NHS’s problem. In part, it must be about diet, teeth brushing and dental care—whether the teeth are being properly looked after—as well as potentially fluoride enhancement of water and the availability of dentists. Several stages need to be looked at in a more holistic way to prevent these children from having to go through such an awful experience.

    In Lincolnshire, NHS dental care is good, but the service’s availability is relatively poor. In the last two years, only 41% of adults in Lincolnshire have seen an NHS dentist, and less than a third of children saw an NHS dentist in the last year. The Minister will be aware that I had an Adjournment debate on the topic in October. I thank her for her engagement with me since and for her support in identifying potential solutions, as well as local dentists, the local dental committee, Professor Juster from the University of Lincoln and Health Education England for their time. They are just some of the people I have met to discuss Lincolnshire’s dental issues and how we can improve care.

    The first thing to be solved is, of course, the dental contract. The contract was created by Labour in 2006, but I agree that we have had time and should probably have sorted it out by now. I raised that with the previous Secretary of State when I was on the Health and Social Care Committee in the previous Parliament. The contract pays for units of dental activity. There are three levels covering wide ranges of levels of care. Why Labour signed off on a contract that created such variability in both the value of a UDA and the amount of work required to be paid for one, I do not know, but it is human nature for someone to expect to be paid more if they have done more work, and that someone given the option of earning more for doing the same work will choose to do so. There, fundamentally, are the problems we have with the NHS contract. I look forward to hearing what the Minister is doing on that. I understand that she is in negotiations with dentists at the moment. I hope that she will be able to update the House on progress and that it will be good progress.

    The second issue is geography. We know that our medical students predominantly stay where they train, and there is no dental school in the east midlands or in East Anglia. I am grateful to Health Education England and Ministers for discussions about solutions to this following my question at Prime Minister’s questions. There are a number of ways of resolving it. In the longer term, a dental school at Lincoln University would be a good way of ensuring that we have locally grown, locally trained dentists. The university is very supportive of that in the discussions, and indeed we have the support of all Greater Lincolnshire Members of Parliament for ensuring that this goes ahead.

    I appreciate that it will take time to plan and deliver that, so in the meantime we need more dentists locally. The Minister and I have recently been talking about centres of dental development. The principle of a centre of dental development, which I would like to see in Sleaford, is that postgraduate training is delivered. It is attractive work for the sake of recruitment. People want to work at a centre because they get to deliver training and it is a more attractively remunerated job, but also, the postgraduate people being trained are immediately delivering care. Such a facility could be up and running within 18 months to two years and actively delivering care to my constituents, which is what I am looking for. I am particularly keen to see a centre located in Sleaford, because we have relatively few NHS dentists. We have great local schools, we have a fabulous community and we have great rail links, both north-south and east-west. What progress is the Minister making on these proposals?

    Does the Minister have any update on what progress is being made on support for military families? I have a number of RAF bases, including RAF Cranwell, in my constituency. People who have moved around from place to place find that they have dropped off the list in one area and are struggling to get on to one in another. We have a covenant that says that we will ensure that people who are serving in our armed forces, and their families, are not disadvantaged, but clearly in this regard they are. I would be grateful for those updates from the Minister.

  • Caroline Johnson – 2022 Speech on the Future of the UK

    Caroline Johnson – 2022 Speech on the Future of the UK

    The speech made by Caroline Johnson, the Conservative MP for Sleaford and North Hykeham, in the House of Commons on 16 May 2022.

    It is an honour to follow the hon. Member for Bradford West (Naz Shah), although I must disagree with her because I believe that this country is the best place to grow up and grow old—although that does not mean there is not work to do to make it even better, and I look forward to supporting the Queen’s Speech in that regard.

    To grow up and grow old well, you need a healthy pregnancy and a healthy birth, and I look forward to the women’s health strategy in that regard. Childhood needs to be filled with opportunity, and the schools Bill and the higher education Bill will provide us with that opportunity. We need to have better sport provision and better mental health services, again covered in the Queen’s Speech. We need to look at the impact of loneliness on social life, which now has a huge impact on elderly people. I was pleased to organise with my team a senior citizens’ fair last week in North Hykeham, where many people came along to hear about the clubs, activities and other support available for older people in the region.

    I want to touch on two things. The first is the impact of covid on the national health service. I refer to my entry in the Register of Members’ Financial Interests as a doctor. The impact of covid means that a lot of people are waiting for treatment. I was somewhat perturbed to read that we want to eliminate waits of a year by 2025, because a wait of a year is a long time and 2025 is not particularly soon for someone who is waiting and in pain. However, I am pleased that we have community diagnostic services opening around the country to help to improve this. I am particularly pleased that one is opening in Grantham and will serve many of my constituents, and that two new operating theatres are being built at Grantham and District Hospital, which will also improve elective activity in the area. There are going to be 17 million more tests in the next three years. We are going to have an increased capacity of 9 million extra treatments and procedures and an increase in elective activity of 30%.

    All that is very good. It is especially good to see the Government focusing on output and actions that benefit patients—treatments, tests and procedures; things that make them better—and not just inputs, as the Opposition do, of £X billion or £Y billion. I have noted in my career in hospital medicine that the amount of senior staff has increased, but demand, expectations and the number of administrative and managerial staff have increased, too. If we are to deliver for patients and not simply spend more money, we need to ensure that the extra money is spent only in those areas of clinical care that improve patient outcomes. In that regard, I support calls for more medical students and more nursing students. I would also support a relative increase in remuneration for nurses providing direct clinical care so that those roles are not disincentivised. I appreciate that the NHS is operationally independent, but I look for ministerial reassurance that we are linking all the extra money that we are taking from our constituents to improve clinical care and clinical delivery.

    The second thing I want to touch on is education and opportunity, which are inextricably linked. Conservative Members share the view that talent is uniformly distributed but opportunity, sadly, is not, and I welcome the Government’s commitment to levelling up in that regard. I am lucky that we have excellent schools in my constituency and that some have seen huge investment this week, including Carre’s Grammar School in Sleaford, which is receiving over £1 million to improve the structure of its buildings. That is fantastic news for all the successful schools involved in that bid.

    The schools Bill offers us an opportunity to look not only at how we educate children in maths, English and science, but at how we contribute to a positive childhood. The MacAlister report, due out very shortly, will help to guide us on safeguarding improvements. In doing so, I hope the Education Secretary will protect children’s lives and wellbeing by focusing on evidence. We often talk in the Select Committee about his focus on the evidence, so I hope that he will be looking at the evidence on how we can improve things for children, not just adding to the bureaucracy that teachers face.

    I would like to see curriculum measures to improve sport, particularly girls’ sport. Many teenage girls do less sport as they get older and throughout their secondary school experience. Children’s sport is crucial to physical development. It is crucial to bone health and preventing osteoporosis in the elderly even. It is important to fitness, to mental wellbeing and to improving academic outcomes as well. I look forward to the Government bringing forward their schools Bill, where I hope to see an increase in minimum participation and the encouraging of more sport as a priority. I look forward to voting for the Queen’s Speech when that opportunity arises.

  • Caroline Johnson – 2021 Speech on the Police, Crime, Sentencing and Courts Bill

    Caroline Johnson – 2021 Speech on the Police, Crime, Sentencing and Courts Bill

    The speech made by Caroline Johnson, the Conservative MP for Sleaford and North Hykeham, in the House of Commons on 16 March 2021.

    The first duty of any Government is to protect members of the public from harm, and I welcome the swift progress that the Government have made on that. Despite the challenges posed by the pandemic, the Government have beaten the target of recruiting 6,000 extra officers by March 2021 and are ahead of schedule to recruit, as promised, 20,000 more police officers by 2023. With a new cohort of police officers protecting our communities, we should give them the protection that they need to do the job to the best of their ability.

    At a time when we are battling an invisible enemy—the coronavirus—our exceptional frontline workers should not be at risk of violence from the very people they are trying to protect. I am glad that the Government have shown that they will not tolerate such attacks and are legislating to double the maximum penalty for assaults on emergency workers from 12 months to two years in prison—the penalty that fits such an abhorrent and selfish crime.

    At a time when we have been tragically reminded of the senseless violence perpetrated against women and girls, it is important that our communities are protected from the most serious offenders. A previous Labour Government introduced automatic early release at the halfway point; we are legislating to ensure that that stops and that those convicted of the most serious violent and sexual offences must serve at least two thirds of their sentence before parole is considered.

    I welcome the fact that more robust sentences for the worst offenders will be combined with greater efforts to rehabilitate. For offenders stuck in the revolving door of crime there will be things such as electronic monitoring tags to ensure that long and restrictive curfews are adhered to. Sobriety tags, which were first piloted here in Lincolnshire, will ensure that individuals comply with alcohol abstinence orders. Such measures will ensure that once criminals have left custody, robust monitoring is still in place both to stop further harm and to break the cycle of reoffending.

    I am pleased to see that those who use their car as a weapon will receive longer sentences, but as we increase sentences for careless driving I look to the Minister for reassurance that we will not criminalise those who have a momentary lapse in concentration—something most of us experience at some point.

    Burglary is a particularly invasive crime that many of my constituents fear, and it leaves people feeling unsafe in their home. Will the Minister consider increasing sentences for those who commit this particularly invasive crime?

    The Bill represents a significant strengthening of our judicial system, with the flexibility to tackle both serious crime and the causes of crime. I am proud to see this Government delivering on their manifesto commitment to empower our judicial system and make our country safer, and I will support the Bill today.